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Not yet taking people in ChinaPhase 3

ATRA for Management of Primary ITP

Key facts

Where
Beijing, ChinaSee the site
Phase
Phase 3

Where in China

  • Peking University Institute of hematology, People's HospitalBeijing, ChinaContact: Xiaohui ZhangNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

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Trial details

Who runs it
Peking University People's Hospital
Trial code
NCT07597395
Record updated
19 May 2026
Original description
A multicenter, randomized, double-blind placebo-controlled study to report the efficacy and safety of all-trans etinoic acid compared to placebo for the treatment of adults with corticosteriod-resistant/relapsed primary immune thrombocytopenia (ITP).Read full original descriptionShow less

All-trans Retinoic Acid for Management of Primary Immune Thrombocytopenia : a Randomized, Double-blind, Placebo-controlled Study

A multicenter, randomized, double-blind placebo-controlled study to report the efficacy and safety of all-trans etinoic acid compared to placebo for the treatment of adults with corticosteriod-resistant/relapsed primary immune thrombocytopenia (ITP).

Inclusion: Primary ITP if aged ⩾18 years; With an average of two platelet counts ⩾1 day apart of <30×10\^9/L during screening and no single platelet count >35×10\^9/L within 2 weeks before study treatment; Patients who have previously received at least one first-line standard therapy for ITP (corticosteroid and/or intravenous immunoglobulin) with unsustained efficacy, relapse, intolerance to standard therapy, or insufficient response.

Exclusion: With a history of symptomatic herpes zoster infection within 12 weeks prior to screening; Evidence of active tuberculosis; or previous evidence of active tuberculosis without appropriate and documented treatment; or household contact with patients with active tuberculosis without appropriate and documented tuberculosis prophylaxis; Receipt of live vaccines within the past 12 weeks, or planned live vaccination during the study period; Prior ATRA therapy; Patients with other diseases were undergoing treatment with immunosuppressants; History or presence of cardiovascular, respiratory, hepatic, gastrointestinal, endocrine, neurological, neuropsychiatric or any other severe and/or unstable diseases that, in the opinion of the investigator, may pose an unacceptable risk with the investigational product or interfere with the interpretation of study data; With active malignancy or a history of malignant tumor; Having experienced severe bacterial, viral, fungal or parasitic infection within the past 4 weeks; Active or chronic HBV, HCV or HIV infection; History of solid organ transplant or planned surgery; Myelodysplastic syndrome, aplastic anemia or myelofibrosis; History or presence of myocardial infarction, unstable ischemic heart disease, stroke, or NYHA Class IV heart failure; AST > 2 times the upper limit of normal (ULN), ALT > 2×ULN, TBIL ≥ 1.5×ULN; WBC < 2500/µL, neutrophil count < 1200/µL, lymphocyte count < 750/µL, hemoglobin < 9 g/dL; eGFR < 50 mL/min/1.73m²; Pregnant or lactating women, and who were possibly pregnant, planning to become pregnant, or who had partners planning to become pregnant; Clinically significant thromboembolic events within the past 24 weeks, or ongoing anticoagulant treatment, who are deemed ineligible for the study by the investigator; Other patients deemed unsuitable for enrollment in this study by the investigator.

ClinicalTrials.gov NCT07597395